Medicines Service

Medicines Service

Introduction

Medicines are the most commonly used therapeutic intervention. Medicines management is a system of processes and behaviours that determines how medicines are used by patients and organisations.

It is valuable for any organisation involved in dealing with medicines to have a team dedicated to medicines management.

Such a team can ensure that these processes are conducted in a clinically safe and cost effective manner and in line with any legal processes.

Medicines play a crucial role in maintaining health, preventing illness, managing chronic conditions and curing disease.

In an era of significant economic, demographic and technological challenge it is crucial that patients get the best quality outcomes from their medicines.

Medicines optimisation represents a patient-focused approach to getting the best investment in and use of medicines that requires a holistic approach and a partnership between healthcare professionals and a patient.

City Health Care Partnership CIC (CHCP) has a dedicated Medicines Service which works closely with all business units offering support and assistance to teams with all aspects of medication from drug formulary reviews to providing guidance to non-medical prescribers.  The Medicines Service is also responsible for developing, reviewing and ratifying Patient Group Directions for all services across CHCP CIC.

The service works closely with nursing teams on wound care formulary products to ensure patients are receiving the correct treatment whilst been proactive in sourcing the most cost effective dressings to benefit both patient and CHCP alike.

Our Care Home and Intermediate Care pharmacy teams work with patients to optimise their medicines to ensure patients take their medicines correctly and minimise any unwanted side effects.

The Team

  • Emma Baggaley and Graham Hill (Senior Pharmacists)
  • Debbie Davies and Natalie Dean (Medicines Management Technicians)
  • Kerri Morris (Team Secretary)
  • Laura Cryer and Tinuola Adepitan (Care Home Pharmacists)
  • Barbara Jeffery (Care Home Technician)
  • Helen Maslen (Intermediate Care Pharmacist, Rosevilla & Holyname)
  • Jennie Harrison and Steph Bartlett (Intermediate Care Technicians, Rosevilla & Holyname)

Contact Information

City Health Care Partnership CIC
Medicines Service
Alexandra Health Care Centre
61 Alexandra Road
Hull
HU5 2NT 

Tel: 01482 344151
Fax: 01482 344032

Specialist Services

The Medicines Service team have been responsible for delivering several specialist services. We have a number of pharmacists and technicians working for us providing a diverse range of skills.

Many of our pharmacists have completed postgraduate clinical diplomas in medicines management /clinical pharmacy and some are independent pharmacist prescribers. Our technicians have completed foundation degrees in medicines management and completed the PTLS teaching qualification.


Care Homes

The Care Home Medicines Management Support Service is commissioned by Hull Clinical Commissioning Group to provide advice and support to Care Homes across Hull regarding medicines management and conduct clinical medication reviews for their residents.

An examination of the systems and processes for the storage and administration of medicines within the care home, using audit tools based on national guidance, are undertaken with the home by our technicians.  The objective of theses audits is to provide support and advice to care home managers, ensure safe and appropriate medicines management processes are in place and minimise waste.

The medication reviews are conducted with the residents within the care home and in partnership with the resident, their GP and carer recommendations will be provided by our care home pharmacists to optimise the patients medication.


Intermediate Care Support (ICS) Service

Following an audit carried out by a care homes support technician the benefits of pharmaceutical support within Highfield Intermediate Care Service (ICS) were identified and a service introduced. They advise and support staff and patients on the safe effective and rational use of medications.

This ongoing work at Highfield by the ICS pharmacy team and their involvement in multidisciplinary working at the weekly MDT meetings has had a very positive impact on clients of the ICS service

The effective management of medicines is a requirement of CQCs essential standards on quality and safety (Outcome 9) as is co-operation with other providers when care is transferred. (Outcome 6) (Ref: Care Quality Commission. Guidance about compliance: Essential Standards of Quality and Safety (2010)).

The pharmacy services working with ICS have contributed to improvements in a number of patient outcomes through:-

  • Seamless discharge from hospital to the ICS
  • Medicines reconciliation on admission to the ICS
  • Optimisation of medicines regimes prior to discharge from the ICS
  • Retention of independence where appropriate through self-medication and links to CSU Medicines Management Support Service
  • Improved discharge to social care where appropriate through use of medication records charts
  • Provision of timely discharge information to patient’s GP and community pharmacy when a patient leaves the ICS

Following the success of an initial 6 month pilot to evaluate the outcomes demonstrated by involvement of the pharmacist and medicines management technician within the intermediate care team, pharmacy support has been increased to the intermediate care service. 

The pharmacy team provide support to patients and staff regarding medicines within the intermediate care beds in Highfield, Rosevilla and Holyname care homes.  The pharmacy team are able to maximise patients independence through effective medicines optimisation and guidance.

The pharmacy services working with ICS have contributed to improvements in a number of patient outcomes through:

  •        Seamless discharge from hospital to the ICS
  •        Medicines reconciliation on admission to the ICS
  •        Optimisation of medicines regimes prior to discharge from the ICS
  •        Retention of independence where appropriate through self-medication and links to CSU Medicines Management Support Service
  •        Improved discharge to social care where appropriate through use of medication records charts
  •        Provision of timely discharge information to patient’s GP and community pharmacy when a patient leaves the ICS


Palliative Care

Within the Specialist Palliative Care Clinic setting, the pharmacist is part of a multi-disciplinary team. The approach of different specialities, including doctors, nurses and pharmacists, means that the patient receives holistic care from several different aspects. This approach allows our patients to access the same level of care that they would receive within a hospital in the community. Discussions can be held with the patient regarding their care, arriving at conclusions that work for both the patient and the team.

A pharmacist within this setting can have a one to one discussion with the patient regarding their medication and any concerns that they may have. Often people are taking medication incorrectly because they have never been given the opportunity to ask so the pharmacist can simplify medication regimes, find alternative drugs or formulations to suit a specific patient’s need, which can become more complex, particularly as a condition progresses. Charts can be written for patients to aid memory and avoid confusion, support calls can be made to provide help, and also remind the patient that there is help available should they want it.

The pharmacist can also liaise with the patients GP surgery regarding future prescribing, ensuring that this is a smooth process, avoiding unnecessary stress to the patients. This is often an important role, as medications are used in unusual doses, or for unlicensed indications.

The holistic, multidisciplinary care of patient has been shown to have excellent outcomes, this is something we hope to continue with and improve on as our knowledge and skills grow.

CHCP CIC Medicines Service were successful in securing 2 year funding from Macmillan Cancer Support to further develop the pharmacist role within end of life care.


Community Pharmacies

The Medicines Service Team work closely with City Health Pharmacy Ltd, a local pharmacy business acquired by City Health Care Partnership CIC in 2011. In 2013 CHCP CIC expended their pharmacy portfolio by acquiring another local pharmacy business, Brocklehurst Chemists.

CHCP CIC now has a total of 5 pharmacies ensuring they are able to provide community pharmacies across the city and increasing excellent ‘added value’ services for the local community.

City Health Pharmacy Ltd
16 Goodwin Parade
Walker Street
Hull
HU3 2HA 

Tel. (01482) 329525

 

City Health Pharmacy Ltd
81 South Bridge Road
Victoria Dock
Hull
HU9 1TR

Tel. (01482) 586656

 

Brocklehurst Chemists
214 Willerby Road
Hull
HU5 5JW 

Tel. (01482) 352075

 

Brocklehurst Chemists
189 Wold Road
Hull
HU5 5PH

Tel. (01482) 572659

 

Brocklehurst Chemists
801 Hotham Road South
Hull
HU5 5JX

Tel. (01482) 502882